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[Torsades de Pointes: a cause of syncope in sinus node dysfunction]. / Torsade de pointes: una causa de síncope en disfunción del nodo sinusal.
Velázquez Rodríguez, E; Rangel Rojo, J; Ortega Sánchez, A; Zamudio Villafuerte, A; González Gallardo, S.
Afiliação
  • Velázquez Rodríguez E; Unidad de Cuidados Intensivos Cardiológicos, Hospital Central Norte de Concentración Nacional PEMEX, Azcapotzalco, México, D.F.
Arch Inst Cardiol Mex ; 68(6): 498-505, 1998.
Article em Es | MEDLINE | ID: mdl-10365226
Torsade de Pointes (TdP) is an atypical ventricular tachycardia that occurs in the setting of QT interval prolongation which may be an inherited or acquired abnormality. TdP is a recognized complication of bradyarrhythmias, specifically atrioventricular block. However, sinus node dysfunction is a rare cause of syncope associated with TdP. Experimental studies have suggested that the acquired long QTU interval and TdP may be due to bradycardia or pause-dependent early after depolarizations that give rise to triggered activity. This report describes a patient with sinus bradycardia and intermittent AV nodal rhythm induced long QT interval and repetitive syncope related to TdP and successfully treated with temporal and long-term pacing.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nó Sinoatrial / Síncope / Torsades de Pointes Tipo de estudo: Etiology_studies Limite: Aged / Female / Humans Idioma: Es Revista: Arch Inst Cardiol Mex Ano de publicação: 1998 Tipo de documento: Article País de publicação: México
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nó Sinoatrial / Síncope / Torsades de Pointes Tipo de estudo: Etiology_studies Limite: Aged / Female / Humans Idioma: Es Revista: Arch Inst Cardiol Mex Ano de publicação: 1998 Tipo de documento: Article País de publicação: México